2017 Perimart Marathon - Masai Mara: Registration
Event: Perimart Marathon - Masai Mara
Event Date: 3rd to 5th August 2017
Website: www.perimartmarathon.com (formerly www.masaimarakenyamarathon.com)

NOTE: This form must be completed separately for each person registering. However, if you would like to make 1 payment for a number of registration fees, please quote the payment reference in each form and let us know in the comments section at the end.

Email address
Which organisation are you fundraising for?
All fundraising for this event must be carried out using our dedicated donation pages which you will find on the Fundraising page of our website, or which we can set up specifically for you.

If you would like to register for the event but wish to fundraise for a charity/NGO/NPO that is not one of our registered partners, you may do so by selecting 'Other' and advising us of the name of the charity/NGO/NPO and their Registered Number. However, please note that to support the continuing works of the event organisers, the following shared rates apply to fundraising for all charities outside Mend the Gap and Perimart International. Once your fundraising is complete, we will make the appropriate contribution to your named charity on your behalf, according to the list below.

I am fundraising for...
Required
Personal Information
Please enter information as it appears on the Passport/National ID you will be using for travel.
Gender
Title
First Name on ID
Your answer
Middle Name(s) on ID
Your answer
Surname on ID
Your answer
If you prefer to be known by another name, please tell us here:
e.g. If your ID forename is Robert but you prefer to be called Bob. If it's the same as your ID names, please enter them again below.
Preferred First Name
Your answer
Preferred Surname
Your answer
Date of Birth (MMddYYYY)
MM
/
DD
/
YYYY
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